I am very glad to publish this health bulletin of Chakaria upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Chakaria upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on drinking safe water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I would like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.

Top 10 diseases according to the number of patients admitted in the UHC during the reporting period

Total number of admitted patients during the reporting period

16,440

Serial No.

ICD-10 Code with Disease Name

System

No. of cases

%

1

A09 Diarrhoea and gastroenteritis of presumed infectious origin

I: Certain infectious and parasitic diseases

4766

28.99

2

J18 Pneumonia, organism unspecified

X: Diseases of the respiratory system

3124

19.00

3

K27 Peptic ulcer, site unspecified

XI: Diseases of the digestive system

3049

18.55

4

S99 Other and unspecified injuries of ankle and foot

XIX: Injury, poisoning and certain other consequences of external causes

1166

7.09

5

T440 Anticholinesterase agents

XIX: Injury, poisoning and certain other consequences of external causes

345

2.10

6

J449 Chronic obstructive pulmonary disease, unspecified

X: Diseases of the respiratory system

213

1.30

7

T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances

XIX: Injury, poisoning and certain other consequences of external causes

159

0.97

8

J128 Other viral pneumonia

X: Diseases of the respiratory system

133

0.81

9

J40 Bronchitis, not specified as acute or chronic

X: Diseases of the respiratory system

132

0.80

10

F412 Mixed anxiety and depressive disorder

V: Mental and behavioural disorders

125

0.76

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC

Total number of Deaths during the reporting period

10

Serial No.

ICD-10 Code with Disease Name

System

No. of cases

%

1

J18 Pneumonia, organism unspecified

X: Diseases of the respiratory system

4

40.00

2

J44 Other chronic obstructive pulmonary disease

X: Diseases of the respiratory system

3

30.00

3

A09 Diarrhoea and gastroenteritis of presumed infectious origin

X: Diseases of the respiratory system

1

10.00

4

G01 Meningitis in bacterial diseases classified elsewhere

VI: Diseases of the nervous system

1

10.00

5

G46 Vascular syndromes of brain in cerebrovascular diseases

VI: Diseases of the nervous system

1

10.00

6

0

0.00

7

0

0.00

8

0

0.00

9

0

0.00

10

0

0.00

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation

Indicators

Upazila %

Coverage of households having access to safe drinking water (%)

92.00

Coverage of households having access to sanitary latrines (%)

85.00

Utilization of services at Upazila Health Complex

Indicators

Upazila

Total Patient days in 365 days (No.)

28,714

Bed Occupancy Rates (%)

157.34

Average Length of Hospital Stay (No. of days per patient)

1.75

Hospital Death Rate (%)

0.06

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex

Type

No.

Major Surgeries

10

Minor Surgeries

5,262

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)

Class

Sanctioned

Filled-up

Vacant

Vacancy %

M

F

UHC

Class I

Doctor

21

12

2

7

33.33

Non Doctor

0

0

0

0

0.00

Class II

15

1

7

7

46.67

Class III

27

16

2

9

33.33

Class IV

24

14

3

7

29.17

Union Health & Family Welfare Center (under DGHS)

Class I

Doctor

16

7

9

0

0.00

Non Doctor

0

0

0

0

0.00

Class II

0

0

0

0

0.00

Class III

0

0

0

0

0.00

Class IV

0

0

0

0

0.00

Rural Dispensaries

Class I

Doctor

2

2

0

0

0.00

Non Doctor

0

0

0

0

0.00

Class II

0

0

0

0

0.00

Class III

4

2

0

2

50.00

Class IV

2

2

0

0

0.00

Community Clinics

Class I

Doctor

0

0

0

0

0.00

Non Doctor

0

0

0

0

0.00

Class II

0

0

0

0

0.00

Class III

45

16

29

0

0.00

Class IV

0

0

0

0

0.00

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)

Class

Sanctioned (No.)

Filled-up (No.)

Vacant (No.)

Vacancy %

M

F

Upazila Total

Class I

Doctor

39

21

11

7

17.95

Non Doctor

0

0

0

0

0.00

Class II

15

1

7

7

46.67

Class III

178

99

45

34

19.10

Class IV

26

16

3

7

26.92

Other Hospitals & Clinics

Class I

Doctor

0

0

0

0

0.00

Non Doctor

0

0

0

0

0.00

Class II

0

0

0

0

0.00

Class III

0

0

0

0

0.00

Class IV

0

0

0

0

0.00

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)

Manpower

Community Clinic

USC/UHFWC/RD

UHC

Others

IMCI trained

Basic EOC trained

CSBA trained

Sanctioned

Filled-up

Sanctioned

Filled-up

Sanctioned

Filled-up

Sanctioned

Filled-up

Physician

0

0

16

16

21

14

0

0

4

1

0

Nurse

0

0

0

0

15

8

0

0

8

2

0

Medical Assistant

0

0

18

2

2

2

0

0

2

0

0

Medical Technologist

0

0

2

1

10

6

0

0

0

0

0

CHCP

45

45

0

0

0

0

0

0

0

0

0

HI

0

0

0

0

0

0

4

4

0

0

0

AHI

0

0

0

0

0

0

15

15

0

0

0

HA

0

0

0

0

0

0

66

56

0

0

0

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment at UHC

Equipment

Total (No.)

Functional (No.)

Non-functional

Not Installed (No.)

Repairable (No.)

Non-repairable (No.)

Radiology equipment

X-ray machine (100 mA)

0

0

0

0

0

X-ray machine (300 mA)

1

0

0

1

0

Ultrasonogram machine

1

1

0

0

0

Anesthesiology/surgical equipment

Anesthesia machine with ventilator

1

1

0

0

0

Anesthesia machine without ventilator

0

0

0

0

0

Autoclave

2

2

0

0

0

Electric cautery machine

0

0

0

0

0

Diathermy machine

0

0

0

0

0

Operating microscope

0

0

0

0

0

Ceiling mounting OT Light

0

0

0

0

0

Portable OT Light

1

1

0

0

0

Fracture table

0

0

0

0

0

Hydrolic OT Table

1

1

0

0

0

Sterilizer

2

2

0

0

0

Sucker machine (electric)

6

4

2

0

0

Ventilator

0

0

0

0

0

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC

Equipment

Total (No.)

Functional (No.)

Non-functional

Not Installed (No.)

Repairable (No.)

Non-repairable (No.)

Cardiology equipment

ECG machine

1

1

0

0

0

Ecocardiogram machine

0

0

0

0

0

Nebulizer machine

2

2

0

0

0

Pulse oximeter

0

0

0

0

0

Dental equipment

Dental unit

1

0

1

0

0

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment at UHC

Equipment

Total (No.)

Functional (No.)

Non-functional

Not Installed (No.)

Repairable (No.)

Non-repairable (No.)

Lab equipment

Biochemical auto-analyzer

0

0

0

0

0

Centrifuge machine (electric)

0

0

0

0

0

Colorimeter

3

1

2

0

0

Electrolyte analyzer

0

0

0

0

0

Microscope (binocular)

5

3

2

0

0

Pediatric equipment

Baby incubator

0

0

0

0

0

Phototherapy unit

0

0

0

0

0

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC

Equipment

Total (No.)

Functional (No.)

Non-functional

Not Installed (No.)

Repairable (No.)

Non-repairable (No.)

Blood bank equipment

Hemoglobin photometer

0

0

0

0

0

Blood bank refrigerator

1

1

0

0

0

Refrigerator

1

1

0

0

0

Vehicles

Ambulance

2

1

0

1

0

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment at UHC

Equipment

Total (No.)

Functional (No.)

Non-functional

Not Installed (No.)

Repairable (No.)

Non-repairable (No.)

Air conditioner

Air conditioner (split type)

0

0

0

0

0

Air conditioner (window)

2

1

1

0

0

Generator

Generator (diesel/petrol)

1

1

0

0

0

Generator (gas)

0

0

0

0

0

Solar panel

0

0

0

0

0

IPS

3

3

0

0

0

ICT equipment

Computer (desktop)

7

6

1

0

0

Laptop

2

1

1

0

0

Printer (dot matrix)

0

0

0

0

0

Printer (inkjet)

0

0

0

0

0

Printer (laser)

3

3

0

0

0

Scanner

1

1

0

0

0

UPS

3

3

0

0

0

Fax

0

0

0

0

0

Intercom

0

0

0

0

0

Internet fixed line

0

0

0

0

0

Internet wireless line

1

1

0

0

0

Multimedia

0

0

0

0

0

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC

Equipment

Total (No.)

Functional (No.)

Non-functional

Not Installed (No.)

Repairable (No.)

Non-repairable (No.)

OHP

1

1

0

0

0

PA system (Sound)

0

0

0

0

0

Land phone

1

1

0

0

0

Mobile phone

1

1

0

0

0

Total

56

44

10

2

0

Chakaria Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Chakaria Upazila Health Complex

Inspite of so many lackings. We tried our best to improve the health care status of this health complex.Here I would like mention some important factors which will help to achive good result in future. 1) The vacent post Should filled up immediately espicially Doctors & Nurse. 2) Our Doctors ,Nurse & SACMO need more training on IMCI. 3) All the repairable equipments should be repaired as soon as possible. Finally I am very happy to write this bulletin of 2014,Because this documents will help us to compare our progress in upcoming years. This is very useful documents and will help the public to understand health services and to provide us the useful advice for improvement in future.